Evidence map›Paper›PMID 42101804›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2026

Impact of catheter design on lesion dimensions during focal-bipolar pulsed field ablation: an in vitro potato model study.

Łukasz Zarębski, Agata Wawrzyniak, Piotr Futyma

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Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Łukasz ZarębskiSt. Joseph's Heart Rhythm Center, Anny Jagiellonki 17, Rzeszów, 35-623, Poland. lukasz.zarebski@interia.pl.
Agata WawrzyniakUniversity of Rzeszów, Rzeszów, Poland.
Piotr FutymaSt. Joseph's Heart Rhythm Center, Anny Jagiellonki 17, Rzeszów, 35-623, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPulsed field ablation (PFA) is a novel technique for pulmonary vein isolation (PVI) in the treatment of atrial fibrillation (AF). However, the impact of electrode type on lesion formation at fixed PFA parameters remains unknown. This study investigated differences in lesion characteristics when using a 4 mm non-irrigated catheter versus an open-irrigated flexible-tip catheter in focal-bipolar PFA in a potato model.

methodsPFA applications were performed in a potato model using a purpose-made PFA generator, applying both a solid-tip 4 mm non-irrigated catheter and an open-irrigated flexible-tip catheter under identical energy delivery parameters. After electroporation, potatoes were stained with triphenyltetrazolium chloride (TTC) to visualize lesion boundaries. Depth, diameter, and volume of the irreversibly electroporated zones were measured to assess the impact of each electrode type.

resultsA total of fifty PFA applications were performed - 25 with the 4 mm non-irrigated catheter and 25 with the open-irrigated flexible-tip catheter. The depth of the irreversible electroporation zone was significantly greater with the 4 mm non-irrigated catheter than with the irrigated electrode (1.7 ± 0.5 mm vs. 1.4 ± 0.7 mm, p = 0.03). The diameter of irreversible lesions created with the 4 mm electrode was 7 ± 1 mm, compared to 6 ± 1 mm with the irrigated electrode (p = 0.001), resulting in a total lesion volume of 46 ± 19 mm³ versus 30 ± 12 mm³, respectively (p = 0.0008).

conclusionThe use of a solid-tip 4 mm non-irrigated catheter in focal-bipolar PFA creates lesions with greater depth, volume and diameter compared to an open-irrigated flexible-tip catheter. Ablation catheter type significantly influences lesion spread during focal-bipolar PFA.

Indexed as

Ablation catheter designFocal-bipolar ablationIn vitro modelIrreversible electroporationPulsed Field Ablation

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.